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H40.052 vs H40.059

H40.052 (Ocular hypertension, left eye) compared with H40.059 (Ocular hypertension, unspecified eye), from the official CMS tabular data. H40.052 and H40.059 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H40.052
Left
Ocular hypertension, left eye
H40.059
Unspecified
Ocular hypertension, unspecified eye

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H40.052 and H40.059 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H40.052Ocular hypertension, left eyeH40.059Ocular hypertension, unspecified eye
Billing statusBillableBillable
ClassificationH00-H59 — Diseases of the Eye and Adnexa (H00-H59)H00-H59 — Diseases of the Eye and Adnexa (H00-H59)
DefinitionOcular hypertension, left eye is a billable ICD-10-CM diagnosis code (H40.052).Ocular hypertension, unspecified eye is a billable ICD-10-CM diagnosis code (H40.059).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources